Autonomy and Engaging Patients in Decision Making

Question 1

Shared Decision Making

Answer 1

clinicians and patients work together to clarify treatment, management, or self-management support goals, sharing information about options and preferred outcomes with the aim of reaching mutual agreement on the best course of action

Question 2

Integrative model steps

Answer 2

1. Define/explain problem
2. Define roles and desire for involvement
3. Discuss pros and cons
4. Explore patient values and preferences
5. Discuss patient ability/self-efficacy
6. Clinician shares knowledge and recommendations
7. Clarify understanding
8. Make or explicitly defer decision making
9. Arrange follow up

Question 3

Factors impacting decision making

Answer 3

• information seeking
• affect/emotions
• impact estimates

Question 4

Barriers to decision making

Answer 4

• provider
• informational
• emotional/psychosocial
• Cultural

Question 5

Provider related barriers to decision making

Answer 5

burnout
countertransference
ethical conflict
framing
stigmas
unimportant information
affect
non-verbal cues

Question 6

Informational barriers to decision making

Answer 6

• literacy

- numeracy

Question 7

Emotional/psychosocial barriers to decision making

Answer 7

neurotypical emotions
extreme emotions
mental illness